Effect of pulmonary function on the safety of single-hole thoracoscopic pulmonary surgery in patients with moderate to severe chronic obstructive pulmonary disease

GAO Kefei; XU Honglei; ZHANG Yong

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Medical Journal of the Chinese People Armed Police Forces ›› 2021, Vol. 32 ›› Issue (10) : 847-851.

Effect of pulmonary function on the safety of single-hole thoracoscopic pulmonary surgery in patients with moderate to severe chronic obstructive pulmonary disease

GAO Kefei¹, XU Honglei², ZHANG Yong³

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Abstract

Objective To investigate the influence of pulmonary function on the related indexes of single port thoracoscopic lung surgery in patients with chronic obstructive pulmonary disease (COPD), and to evaluate the safety of this surgery for patients with moderate to severe COPD. Methods The clinical data on 1030 patients with COPD who underwent single port thoracoscopy between January and September in 2020 was retrospectively analyzed. According to the GOLD grading standard(Interpretation of the Global Initiative on Chronic Obstructive Pulmonary Disease), the pulmonary function of these patients was divided into the mild group and the moderate and severe group. The intraoperative blood loss (IBL), duration of anesthesia(DA), duration of surgery (DS) postoperative complications (PC) and length of postoperative hospital stay(LPHS)were compared between the two groups. Results Surgery was successful in all the patients who were discharged healthy. There was no significant difference in IBL, DA, DS, LPHS or PC between the two groups (P>0.05). Conclusions There are no significant differences in intraoperative and postoperative indexes between the mild group and the moderate/severe COPD group. Therefore, single port thoracoscope is safe and feasible for lung surgery.

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single port thoracoscope / chronic obstructive pulmonary disease / lung surgery

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GAO Kefei, XU Honglei, ZHANG Yong. Effect of pulmonary function on the safety of single-hole thoracoscopic pulmonary surgery in patients with moderate to severe chronic obstructive pulmonary disease[J]. Medical Journal of the Chinese People Armed Police Forces. 2021, 32(10): 847-851

References

[1] GBD 2016 causes of death collaborators.global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016 [J]. Lancet, 2017, 390(10100): 1151-1210.
[2] López C J, Tan W, Soriano J. Global burden of COPD [J]. Respirology, 2016, 21(1): 14-23.
[3] GBD 2015 mortality and causes of death collaborators. global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the global burden of disease study 2015 [J]. Lancet, 2016, 388(10053): 1459-1544.
[4] GBD 2015 disease and injury incidence and prevalence collaborators. global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015 [J]. Lancet, 2016, 388(10053): 1545-1602.
[5] Spyratos D, Zarogoulidis P, Porpodis K, et al. Preoperative evaluation for lung cancer resection [J]. J Thorac Dis, 2014, 6(Suppl 1):S162-166.
[6] 伍治强,唐小军. 单孔胸腔镜手术应用进展[J]. 中国微创外科杂, 2020, 20(6): 553-556.
[7] 万紫微, 黄威, 姜格宁. 单孔胸腔镜全肺切除治疗非小细胞肺癌:单中心23例经验[J]. 中华胸心血管外科杂志, 2020, 36(9):518-521.
[8] Gonzalez-Rivas D, Yang Y, Stupnik T, et al. Uniportal video-assisted thoracoscopic bronchovascular, tracheal and carinal sleeve resectionst[J]. Eur J Cardiothorac Surg, 2016, 49(suppl_1):i6- i16.
[9] Rami-Porta R, Ball D, Crowley J, et al. The IASLC lung cancer staging project: proposals for the revision of the T descriptors in the forthcoming (seventh) edition of the TNM classification for lung cancer[J]. J Thorac Oncol, 2007,2(7): 593-602.
[10] Migliore M, Halezeroglu S, Molins L, et al. Uniportal video-assisted thoracic surgery or single-incision video-assisted thoracic surgery for lung resection: clarifying definitions [J]. Future Oncol, 2016, 12(23s):5-7.
[11] Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy [J]. Interact Cardiovasc Thorac Surg, 2011, 12(3): 514-515.
[12] Gonzalez R D, Paradela M, Fernandez R, et al. Uniportal video assisted thoracoscopic lobectomy: two years of experience [J]. Ann Thorac Surg, 2013, 95(2): 426-432.
[13] 曹庆东, 高雪峰, 李晓剑,等. 单孔胸腔镜手术的临床应用[J]. 中华胸心血管外科杂志,2011,27(9):546-548.
[14] Wang B Y, Liu C Y, Hsu P K, et al. Single incision versus multiple incision thoracoscopic lobectomy and segmentectomy: a propensity-matched analysis [J]. Ann Surg, 2015, 261(4): 793-799.
[15] Zhang X, Yu Q, Lv D. The single incision versus multiple incision video assisted thoracoscopic surgery in the treatment of lung cancer: A systematic review and meta-analysis [J]. Indian J Cancer, 2017, 54(1): 291-300.
[16] Hsu P K, Lin W C, Chang Y C, et al. Multiinstitutional analysis of single port video assisted thoracoscopic anatomical resection for primary lung cancer [J]. Ann Thorac Surg, 2015, 99(5): 1739-1744.
[17] Huang H, Ma H, Chen S, et al. Enhanced recovery after surgery using uniportal video assisted thoracic surgery for lung cancer: a preliminary study [J]. Thorac Cancer, 2018, 9(1): 83-87.
[18] Zhou Y, Li X, Dai J, et al. Uniportal thoracoscopic decortication for stage III tuberculous empyema with severe rib crowding [J]. Ann Thorac Surg, 2020, 112(1):289-294.
[19] 孟俊峰. COPD危险因素分析[J]. 临床肺科杂志, 2011, 16(3):424-426.
[20] Yang J, Xia Y, Yang Y, et al. Risk factors for major adverse events of video-assisted thoracic surgery lobectomy for lung cancer [J].Int J Med Sci, 2014, 11(9): 863-869.
[21] 王乐声, 洪建明, 陈培臻,等. 轻中度慢性阻塞性肺疾病患者行腹腔镜与开腹胃癌根治性手术的安全性比较[J]. 中国微创外科杂志, 2015, 15(5):405-409.
[22] Ichimura H, Ozawa Y, Nishina H, et al. Thrombus formation in the pulmonary vein stump after left upper lobectomy: a report of four cases [J]. Ann Thorac Cardiovasc Surg, 2014, 20(Supplement):613-616.
[23] Kobayashi Y, Yahikozawa H, Takamatsu R, et al. Left upper lung lobectomy is an embolic risk factor for cerebral infarction [J]. J Stroke Cerebrovasc Dis, 2017, 26(9): e177-e179.
[24] Kitajima A, Otsuka Y, Lefor A K, et al. Acute cerebral infarction in a patient with an epidural catheter after left upper lobectomy: a case report [J]. BMC Anesthesiol, 2019, 19(1): 27.
[25] Usui G, Takayama Y, Hashimoto H, et al. Cerebral embolism caused by thrombus in the pulmonary vein stump after left lower lobectomy: a case report and literature review [J]. Intern Med, 2019, 58(9):1349-1354.
[26] Fang F Q, Kang X H, Wen X H, et al. Cerebral infarction after laparoscopic right lung wedge or segment resection: a report of four cases [J]. J Stroke Cerebrovasc Dis, 2021, 30(4): 105615.
[27] 周明娟, 郑劲平. 胸部手术前肺功能评估[J]. 中华结核和呼吸杂志, 2012, 35(6):477-479.
[28] 黄诚, 周小昀, 何嘉,等. 全胸腔镜手术治疗对肺癌合并慢性阻塞性肺疾病患者预后的影响分析[J]. 癌症进展, 2018, 16(6): 702-704.
[29] 王君, 马春平, 赵玉才,等. 胸腔镜手术治疗重度COPD的疗效分析[J]. 临床肺科杂志, 2014, 19(3):420-422.